Active NPI
Kaitlyn Brooke Miller
- Speech-Language Pathologist
- Vancouver, WA
National Provider Identifier
1285123570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 60792101
- Practice address
- 2901 Falk Rd
Vancouver, WA 98661-6392 - Phone
- (360) 313-1200
- NPI assigned
- May 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 60792101 | WA | Primary |
Addresses
Primary practice location
2901 Falk Rd
Vancouver, WA 98661-6392
Mailing address
8312 NW Greenbriar Dr
Vancouver, WA 98665-7745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60792101 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1285123570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8312 NW GREENBRIAR DR",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986657745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 FALK RD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986616392",
"telephone_number": "360-313-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KAITLYN",
"middle_name": "BROOKE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "60792101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.